| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $627.00 | $641.21 | $3,314.62 | |
Kaiser Permanente
| Professional | $536.44 | $692.01 | $906.78 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |
Tendon Graft From A Distance
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $627.00 | $641.21 | $3,314.62 | |
Kaiser Permanente
| Professional | $536.44 | $692.01 | $906.78 | |
United
| Facility | $643.00 | $643.00 | $1,185.00 |